Leroy O Jeske (NPI# 1205839446, PAC ID# 4385623081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205839446 |
| PAC ID by PECOS | 4385623081 |
| Professional Enrollment ID | I20101026001518 |
| Full Name | Leroy O Jeske |
| Organization Legal Name | FAMILY CARE OF BROKEN ARROW, INC. |
| Address |
3100 S Elm Pl Suite A Broken Arrow OK 74012-7950 |
| Phone Number | 9184557777 |
| Gender | M |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2769675446 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370218 | SAINT FRANCIS HOSPITAL SOUTH, LLC |
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 3100 S Elm Pl, Suite A, Broken Arrow, OK 74012-7950 | 9184557777 | FAMILY CARE OF BROKEN ARROW, INC. |
| Organization Legal Name | FAMILY CARE OF BROKEN ARROW, INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy L Asher | Family Medicine | Family Care of Broken Arrow, Inc. | 3100 S Elm Pl, Suite A, Broken Arrow, OK 74012-7950 |
| Bryan L Dalton | Family Medicine | Family Care of Broken Arrow, Inc. | 3100 S Elm Pl, Suite A, Broken Arrow, OK 74012-7950 |
| Athena C Mason | Family Medicine | Family Care of Broken Arrow, Inc. | 3100 S Elm Pl, Suite A, Broken Arrow, OK 74012-7950 |
| Daniel L Wooster | Family Medicine | Family Care of Broken Arrow, Inc. | 3100 S Elm Pl, Suite A, Broken Arrow, OK 74012-7950 |
| Street Address |
3100 S ELM PL SUITE A |
| City | BROKEN ARROW |
| State | OK |
| Zip | 74012-7950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Ritze | Family Medicine | 3100 S Elm Pl, Suite C, Broken Arrow, OK 74012-7950 | |
| Tracy L Asher | Family Medicine | Family Care of Broken Arrow, Inc. | 3100 S Elm Pl, Suite A, Broken Arrow, OK 74012-7950 |
| Bryan L Dalton | Family Medicine | Family Care of Broken Arrow, Inc. | 3100 S Elm Pl, Suite A, Broken Arrow, OK 74012-7950 |
| Athena C Mason | Family Medicine | Family Care of Broken Arrow, Inc. | 3100 S Elm Pl, Suite A, Broken Arrow, OK 74012-7950 |
| Daniel L Wooster | Family Medicine | Family Care of Broken Arrow, Inc. | 3100 S Elm Pl, Suite A, Broken Arrow, OK 74012-7950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Hibbets | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Brad F Wells | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Travis D Ring | Chiropractic | 2433 N Aspen Ave, Broken Arrow, OK 74012-1142 | |
| Marilyn Sue Taylor | Physician Assistant | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jeffrey L Halford | Physical Medicine and Rehabilitation | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jo-anna Coppin Lohr | Nurse Practitioner | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Brent W Henderson | Anesthesiology | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Dena Marie Brunk | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Amira A Al Jiboori | Physical Therapy | Redbud Physical Rehabilitation PC | 1700 W Albany, Suite 310, Broken Arrow, OK 74012-1478 |
| Emily Lynne Sweeney | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Find all physicians in zip 74012 | |||
| City | BROKEN ARROW |
| Zip Code | 74012 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BROKEN ARROW + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Leroy O Jeske.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.